Malignant Hemorrhagic Renal Cyst, Surgical Treatment: a Case Report

Introduction:

A case of malign hemorrhagic renal cyst in a 32 – year–old woman is reported. The patient was admitted to our hospital for further evaluation of right upper abdominal mass. CT scan and ultrasonic sonography showed a right giant renal cystic mass. The characteristic findings were thick and irregular wall and heterogeneous contents of the cystic mass.

Case report:

The presence of a malignant tumor in the cyst wall was suspected and nephrectomy was performed. The specimen measured 10 x 6 x 4 cm. The cyst contained bloody fluid and a hemorrhagic degenerating mass. Pathohistological examination showed evidence of malignant hemorrhagic renal cyst.

Clinical Impact of Chronic Tonsillitis on Weight and Height Parameters

Aim:

The aim of the study was to determine the impact of chronic tonsillitis before and after the surgical intervention with physiological values of the physiological parameters, such as the weight and height.

Material and methods:

The clinical study was of a transversal type (cross-sectional). In the study participated 85 patients, who fulfilled the criteria of the study.

Results:

Mean age of the participants in the study was 7.15 (7.11 years, for the boys and 7.19 years for the girls). There were no significant statistical changes in the boys and girls included in the study according to age. Connections between the weight and height resulted very strong and statistically important for each phase of the measurements performing in the study.

Conclusion:

I propose careful treatment of patients with chronic tonsillitis, especially for the young age patients as well as measurement taking for an adequate treatment on time (adenotonsillectomy) since it is the only method to complication prevention in the organism including the physiological parameters like weight and height.

CLINICAL IMPACT IN THE MANAGEMENT OF NEOVASCULAR GLAUCOMA

INTRODUCTION

Neovascular glaucoma (NVG), participates in the group of secondary glaucoma causing the-increase of intraocular pressure (IOP) as a result of iridocorneal angle enclosure with the development of neovase derived from the retinal ischemic and other inflamatory diseases.

PURPOSE OF THE STUDY

Is to show the incidence, etiopathogenesis, clinical development and the management of NVG by comparing the contemporary and referring literature to other clinics.

METHODS

In this study there were presented the results of NVG treatment for the 2010- 2014 interval. The data processing were conducted using statistically package SPSS 22.

RESULTS

In this scientific study were included 61 patients with NVG containing 4.3% of all cases with glaucoma and 14% of cases with secondary glaucoma, aged 22-79. The mean age of the patients was 60.9 year (SD + 10.6 year), 39 cases or 63.9% were of masculine gender and 22 cases or 36.1% of feminine gender, as it seems there is a differentiation with a statistical significance (X2 = 4.74, P = 0.03, therefore P < 0.05). The most frequent cause of NVG was PDR in 55 cases or 55.6% of them, then, ischemic CRVO with 11 cases or 11.1%. The most frequent complications to the NVG were hemophthalmos, cataract and absolute glaucoma.

CONCLUSION

In many aspects our results were in line with the results of other authors. Therefore we should focus on the adequate treatment of ocular ischemic in time, as it is only prevention method of NVG.

Management of neovascular glaucoma

INTRODUCTION

Neovascular glaucoma is an atrophic optic neuropathy resulting from the neovascularization of the iridocorneal angle increasing the intraocular pressure.

PURPOSE OF THE STUDY

To show the incidence of NVG in comparison to the other types of glaucoma and to compare with the relevant literature data and other referent clinics.

MATERIAL AND METHODS

In this study were included 116 patients with NVG, of whom 75 or 64.7% male and 41 or 35.3% female, treated from January 2003 until February 2013.

RESULTS

Visual acuity damages from NVG, were classified as big damages with 84.7% of cases and minor damages with 15.3% of cases. Cases with heavy damages were the cases with blindness, L+P+/- up to V = 0.3 and cases with slightly damages with V = 0.4-1.0. NVG caused by PDR with 52 cases or 44.8% and CRVO with 12 cases or 10.3%.

CONCLUSION

We should be focused on prevention of diabetic retinopathy which requires interdisciplinary cooperation. In cases when diabetic retinopathy is present, we have to advise patients to undergo PRP as soon as possible, since it is the only way to prevent NVG and heavy consequences.

Proliferative diabetic retinopathy-results of the microsurgical and laser treatment

INTRODUCTION

PDR (proliferative diabetic retinopathy) is one of the most frequently microvascular complication of the diabetic retinopathy.

PURPOSE OF THE STUDY

The aim of this study was to assess results of microsurgical and laser treatment.

MATERIALS AND METHODS

In this study were included 110 patints with PDR treated at the Eye's Clinic in Prishtina, from 2005-2010. There was followed the PRP-laser treatment and that one of microsurgical like cryotherapy and vitrectomy. We have used statistical methods of processing and analysis.

RESULTS

With PRP were treated 66 cases, in 18 cases or 27% we had an improvement, in 35 cases or 53% stabilization and in 13 cases or 20% worsening. With CCT were treated 25 cases, in 2 cases or 8% improvement, in 18 cases or 72% stabilization and in 5 cases or 20% worsening and with vitrectomy were treated 19 cases, in 11 cases or 58% improvement, in 6 cases or 32% stabilization and in 2 cases or 10% worsening of the postoperative clinical treatment. The most frequently complications are vitreous hemorrhage with 38.6% and blindness up to 20.5%.

CONCLUSION

In cases where the PDR is present, we have to advise the patients to undergo the PRP, CCT or vitrectomy in order to prevent the vitreous hemorrhage and its heavy complications.

Management of patient with Cogan's syndrome: a case report

INTRODUCTION

Cogan syndrome-CS, is a rare autoimmune disease defined as an inflammation of the eyes followed by bilateral audiovestibular symptoms.

CASE PRESENTATION

This is case report of S. A. male, born on April 18th 1986 from Elbasan, presented with the gastrointestinal, audiovestibulary and eyes disorders, weight loss and progressive fatigue. CT-scan showed an inflammation in lymph nodes in the right lower quadrant of his abdomen. MRI examination showed inner ear inflammation. Ophthalmologic examination revealed that patient was very sensitive to light and visual acuity was lowing 5/10 LE and 6/10 RE, a slit-lamp examination ascertained the interstitial keratitis, iritis and conjunctivitis.

CONCLUSION

Considering all diseases manifestations, the results of all examinations, a diagnose of CS was finally made. The treatment with steroids and immunosupresors showed an improvement of diseases but hearing loss was not reversed.

Management of patient with Sturge-Weber syndrome: a case report

Introduction

Sturge-Weber syndrome sometimes referred to as encephalotrigeminal angiomatosis, is a rare congenital neurological and skin disorder.

Case presentation

This is case report of a 18-year-old mentally disabled boy, with long-standing seizures, with a port-wine nevi on the left side of the face along the distribution of trigeminal nerve. Interictal encephalogram showed bilateral slow activity, pronounced in the left hemisphere, with epileptogenic activity in the left temporo-parietal region. Skull radiograph, computerized tomography and magnetic resonance imaging showed intracranial calcifications and atrophy of the left brain hemisphere.

Conclusion

Professional counseling and support in addition to drug treatment can provide help to patients and their family to overcome their problems and improve the treatment outcome.

Results of laser treatment-PRP to the diabetic retinopathy

INTRODUCTION

Diabetic retinopathy-(DR) presents the most aggressive form of the retinopathy that has progressive movement and often it ends with optic-atrophic blindness end includes heavy complications unless carried out by laser pan-retinal-photocoagulation.

PURPOSE OF THE STUDY

The aim of this study was analyzing the diabetic retinopathy and impact of the PRP laser treatment, proposition of the precautious as well to managing the complications and PDR prevention.

MATERIAL

In this study were presented the treatment results of diabetic retinopathy treated in the Eye's Clinic in Prishtina, during the period of time (2004-2009). There were examined and diagnosed 42 patients with DR of whom 24 males or (57.14%) and 18 females or (42.85%). In 18 patients or (27%) we have had improvement, in 35 cases or (53%) stabilization and 13 cases or (20%) worsening of state after laser treatment with PRP to DR. The most frequently complications were vitreous hemorrhage in 5 cases or (38.46%) and blindness in 3 cases or (23.07%).

METHODS

There have been used statistical methods of processing and analysis according to the WHO standards.

CONCLUSIONS

We consider that through an advanced education and research programs for inovative projects that meet criterias of our strategic targets to protecting the retina and optic-nerv by understanding DR and PDR and developing a better laser treatment and accurately monitoring of DM, we can manage to prevent complications and heavy consequences of DR. In order to achieve this aim we have to work hard to standardized protocols.